A survey of occupational medicine clinics recently described the following (results reported list average, lowest, and highest charges reported):
DOT Medical Examination only, global fee...$85 ($35 - $225) - includes required vision, hearing (whisper test), dipstick urinalysis, blood pressure, and pulse.
Audiogram……………….....$36 ($25 - $112)
Pulse oximetry……………..$12 ($0 - $22)
Fingerstick blood glucose...$10 ($0 - $28)
Electrocardiogram………....$72 ($45 - $175)
Spirometry………………….$34 ($20 - $142)
Hemoglobin A1c…………...$34 ($14 - $112)
These numbers illustrate the wide variation among clinics. Many clinics contacted indicated that they had different charges for self-pay examinations and those paid for by employers, usually with a discount for self-pay. A few indicated that they also performed DOT medical examinations in the context of annual medical examinations paid for by insurance.
The Department of Transportation has long indicated that there are no regulatory requirements regarding who pays for DOT examinations or on how much can be charged. In the survey, 74% of examinations were paid by the employer, 26% by the driver (either self-pay or using health insurance).